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One of the complementary therapy treatments that can be used for independent and natural interventions is foot hydrotherapy (warm water foot soak). Warm water foot soak therapy plus a mixture of salt is useful for blood pressure lowering therapy in hypertension. The purpose of this study was to determine the effect of warm water foot soak therapy with a mixture of salt on lowering blood pressure in elderly hypertensive patients. The type of research is Quasy-experiment using one group pretest posttest design. The number of samples was 16 respondents taken using the Purposive Sampling technique. The results of the study showed that the average blood pressure before the warm water foot soak therapy with a mixture of salt was systolic 169.62 mmHg and diastolic 102.25 mmHg. The average blood pressure after the warm water foot soak therapy with a mixture of salt was systolic 143.12 mmHg and diastolic 91.88 mmHg. The results of the statistical test showed that there was an effect of warm water foot soak therapy mixed with salt on reducing blood pressure in elderly hypertensive patients in the Siulak Mukai Health Center Work Area in 2024 (p-value = 0.001).

Background: Dysmenorrhea is often experienced by women, the impact of untreated dysmenorrhea can interfere with daily activities. Purpose: The purpose of this study was to determine the effect of giving warm compresses to the abdomen on dysmenorrhea pain. Method: The quasi-experimental research method with the Pretest-Postest Nonequivalent Control Group Design. The population in this study were all female students at SMP Negeri 10 Denpasar totaling 547 students with a purposive sampling technique using the slovin formula. Result: The results of the Wilcoxon test on the pretest-posttest of the treatment group obtained a value of P = 0.0003 <0.05, meaning that there was a difference in the dysmenorrhea pain score before and after being given warm compresses to the abdomen and health education in the treatment group. The results of the next Wilcoxon test on the pretest-posttest of the control group obtained a value of P = 0.066> 0.05, meaning that there was no difference before and after health education in the control group. The results of the Man Whitney test on dysmenorrhea pain scores after being given Warm Compress Abdomen and Health Education in the Treatment and Control Groups obtained P = 0.000 <0.05 indicating that there is an effect of Warm Compress Abdomen and Health Education on dysmenorrhea pain. Conclusion: Warm abdominal compress therapy and health education are effective methods to reduce dysmenorrhea pain in adolescent girls. It is recommended that adolescent girls can apply warm compresses as an effort to reduce menstrual pain (dysmenorrhea) with complementary therapy both in the school environment and at home.

Perineal wounds are a common condition experienced by postpartum mothers after vaginal delivery and can potentially cause pain, discomfort, and the risk of infection if not properly cared for. Effective, safe, and culturally appropriate perineal wound care is a crucial need in postpartum care, especially at the primary health care level. Green betel leaves (Piper betle L.) are known to have antiseptic and anti-inflammatory properties that have the potential to support the wound healing process. This study aims to analyze the effect of green betel leaf water baths on the perineal wound healing process in postpartum mothers in the Sikui Community Health Center (UPT) work area. This study used a quantitative quasi-experimental design with a one-group pretest–posttest approach. The study was conducted in June–July 2025 with 18 postpartum mothers with grade I and II perineal wounds as respondents. Wound condition assessment before intervention was carried out using the REEDA instrument as a baseline condition, while healing results were evaluated based on clinical outcomes and the duration of perineal wound healing. Data analysis was conducted descriptively. The results showed that all respondents experienced clinical perineal wound healing after the green betel leaf water bath intervention. The majority of postpartum mothers experienced wound healing in less than one week, with a median healing time of 5.5 days. In conclusion, green betel leaf water bath has the potential to support the perineal wound healing process in postpartum mothers. This intervention can be considered a safe, easy-to-implement, and relevant complementary therapy for integration into postpartum care in primary healthcare settings.

Hypertension is one of the chronic diseases suffered by many people in Indonesia, including in the Kebondalem Health Center area, Pemalang District. In its treatment, some patients choose to use herbal medicine as a complementary therapy in addition to medical treatment. However, patients' understanding of the benefits and risks of using herbal medicine is still not fully known. Objective: This study aims to examine the level of knowledge of hypertensive patients regarding the benefits and risks of using herbal medicine as a complementary therapy at the Kebondalem Health Center, Pemalang District. Method: This study uses a descriptive method with a quantitative approach. The research sample was hypertensive patients who visited the Kebondalem Health Center and met the inclusion criteria. Data were collected through a validated closed questionnaire, then analyzed descriptively. Results: The results showed that most patients had a moderate level of knowledge regarding the benefits of herbal medicine, but were still low in understanding the risks that might arise from using it simultaneously with medical drugs. Some patients also still believe in myths related to herbal medicine without a strong scientific basis.

Background: Hyperemesis gravidarum is a condition of excessive nausea and vomiting in the first trimester of pregnancy that can lead to dehydration, electrolyte imbalance, and a reduced quality of life for pregnant women. Lavender aromatherapy, as a non-pharmacological intervention, has the potential to reduce the symptoms of hyperemesis gravidarum through its relaxing and anxiolytic effects. Objective: This study aims to analyze the effectiveness of lavender aromatherapy in reducing hyperemesis gravidarum in first trimester pregnant women at Toto Kabila Regional Hospital. Methods: This study used a pre-experimental design with purposive sampling technique involving 30 respondents in the first trimester of pregnancy who experienced hyperemesis gravidarum. Data were analyzed using the Shapiro-Wilk test for normality and a paired t-test to compare hyperemesis scores before and after lavender aromatherapy administration. Results: The results showed a significant decrease in hyperemesis scores from an average of 10.40 ± 2.85 before the intervention to 6.30 ± 2.10 after the intervention with a mean difference of 4.10 points and a p value of 0.000 (p < 0.05). There was a category shift where 56.7% of respondents were in the mild category after the intervention compared to only 13.3% before the intervention. Conclusion: Lavender aromatherapy is effective as a complementary intervention in reducing the symptoms of hyperemesis gravidarum in pregnant women in the first trimester and can be recommended as part of a holistic approach in midwifery care.

Emesis gravidarum, or nausea and vomiting during early pregnancy, is common and affects the health and comfort of first-trimester pregnant women. Persistent symptoms can cause dehydration, electrolyte imbalance, reduced nutrient intake, and psychological distress, potentially impacting maternal and fetal health. Although pharmacological treatments exist, many pregnant women prefer non-pharmacological methods due to concerns about fetal safety. Aromatherapy, using essential oils such as lemon, peppermint, and lavender, has been explored as a complementary therapy to reduce nausea and vomiting through olfactory stimulation and autonomic nervous system modulation. This study aimed to assess the effect of aromatherapy on reducing emesis gravidarum in first-trimester pregnant women at Puskesmas Pagatan. A quasi-experimental design with pretest-posttest control group was employed, involving 40 participants divided into an intervention group (n=20) and a control group (n=20). The intervention group received lemon essential oil inhalation twice daily for seven days, while the control group continued standard antenatal care. Results showed significant reductions in nausea severity and vomiting frequency in the intervention group (p < 0.001). In contrast, the control group showed minimal, non-significant changes. These findings suggest that aromatherapy is an effective, safe, and culturally acceptable non-pharmacological approach for managing emesis gravidarum, enhancing maternal comfort and well-being during early pregnancy.

: Coughs and colds in babies and toddlers can be caused by many factors. Most of the causes are viruses. Treatment for acute coughs and colds can be done in 2 ways, namely pharmacological and non-pharmacological. Non-pharmacological treatment can be complementary therapy or common cold therapy, which is a relaxation therapy to reduce feelings of anxiety and depression in respiratory tract disorders. The aim of this activity is to increase mothers' knowledge about how to do Common Cold massage for non-pharmacological treatment of coughs and colds. Community service activities are carried out to increase students' knowledge about the impact of early marriage. Community service activities are carried out using the lecture (counseling) method and practicing the Common Cold massage method. Before and after counseling students were given pre-test and post-test questionnaires. As a result of this activity, mothers' knowledge before counseling was in the good category was 5 people (26.3%) and after counseling, knowledge in the good category increased to 17 people (89.5%). This shows that there is an increase in mothers' knowledge about Common Cold massage therapy after the counseling was carried out.

Perineal wounds are tears that occur during childbirth, either spontaneously or through assisted delivery. If not properly treated, they can lead to infections. The healing time varies depending on hygiene and the mother's health condition. Perineal wound healing can be facilitated through non-pharmacological treatments, including binahong leaves. The binahong plant has antibacterial, antioxidant, and anti-inflammatory properties, making it potentially effective in accelerating perineal wound healing. This study aims to determine the effect of boiled binahong leaf water on perineal wound healing in postpartum mothers at Susiani, Amd. Keb Independent Midwife Practice Banyuwangi in 2024. The research was conducted at TPMB Susiani, Amd. Keb Banyuwangi, Gang Lombok Perum Villa Asri I Block A-6 Sukowidi, Klatak Village, Kalipuro District, Banyuwangi Regency, from May to June 2024. This study evaluated the effect of boiled binahong leaf water on perineal wound healing using a quasi-experimental design with a posttest-only control group. Of 40 postpartum mothers, 20 received binahong leaf treatment, while 20 did not. The sampling technique used was consecutive sampling. The boiled binahong leaf water was administered for five days, twice daily in the morning and evening. Data analysis was performed using the Wilcoxon test with SPSS. Ethical approval number: 179/01/KEPK-STIKESBWI/V/2024. The results showed that after the intervention, nearly all respondents experienced a reduced wound severity by day 5, with perineal wounds showing signs of healing. The Wilcoxon test yielded an Asymp. Sig. (2-tailed) value of 0.000, indicating a significant effect of this therapy, with 60% of mothers in the intervention group experiencing good wound healing. The data indicate an impact on perineal wound healing in postpartum mothers at Susiani, Amd. Keb Independent Midwife Practice Banyuwangi in 2024. Binahong leaves can serve as a complementary alternative for postpartum mothers with perineal tears.

Approximately 40% of pregnant women worldwide experience anemia. Anemia during pregnancy can cause various serious complications, including premature birth, low birth weight, and even increase the risk of maternal and infant death. Complementary therapy can be an alternative for preventing and treating anemia in pregnant women. This study aims to review research articles related to complementary therapy that can be used to treat anemia in pregnant women. Literature searches through academic databases such as Google Scholar, PubMed and ScienceDirect. Literature selection was carried out based on inclusion criteria (scientific articles in the last 5 years, English/Indonesian, relevant topics) and exclusion (irrelevant articles, no abstract/full-text). Interventions such as acupuncture, yoga, traditional herbs, moringa leaves, spinach and beetroot juice can be safe and natural solutions to increase hemoglobin levels. The selection of the appropriate method can be adjusted according to individual preferences, accessibility, and the level of anemia experienced.  

Early menarche in elementary school children means that children need to have knowledge about menstruation from an early age. Knowledge about menstruation affects children's responses during their first menstruation and personal hygiene during menstruation, so children need correct information about menstruation. This community service aims to provide information about menstruation and complementary therapies, especially relaxation therapy to reduce anxiety and pain. There are four stages in implementing this education, namely the planning stage, preparation stage, implementation stage and monitoring and evaluation stage. There was an increase in students' knowledge after providing education. The results of this community service can show that providing education can increase students' knowledge.

Aging or getting old is a natural thing, which cannot be avoided and rejected by every living creature, including things that will happen to every human being. One of the most common diseases found in the elderly is hypertension, because age is one of the risk factors for hypertension because the arteries or blood vessels in the elderly tend to harden and lose their elasticity. This community service aims to provide information about laughter therapy as one of the non-pharmacologic therapies to lower blood pressure. Method: The implementation of this laughter therapy begins with an explanation of laughter therapy and is continued with a demonstration by team members after which all participants participate in carrying out laughter therapy. The implementation of laughter therapy begins with an explanation regarding laughter therapy and is continued with a demonstration by team members after which all participants take part in carrying out laughter therapy. When laughter therapy was given, there were changes in blood pressure, where 7 respondents (63.7%) of elderly people experienced a decrease in blood pressure, while 4 respondents (36.3%) of elderly people had stable blood pressure. The results of this community service can show that providing laughter therapy is effective in lowering blood pressure even though the implementation is short. The implementation of this therapy is easy to do by the elderly and is effective as a complementary therapy in treating hypertension.

Around 50-90% of women in the world experience dysmenorrhea. The prevalence of dysmenorrhea in Indonesia is reported to reach 64.25%, where 54.89%. Complementary therapy is an alternative to overcome dysmenorrhea because it is considered more natural and has minimal side effects. This study aims to review research articles related to complementary therapies that can be used to overcome dysmenorrhea. literature search through academic databases such as Google Scholar, PubMed and ScienceDirect. Literature selection is carried out based on inclusion criteria (scientific articles in the last 5 years, English/Indonesian, relevant topics) and exclusion (irrelevant articles, no abstract/full-text). Interventions such as physical therapy (yoga and stretching), compress therapy, aromatherapy, acupressure, reflexology, and consumption of natural ingredients provide safe and natural solutions to reduce pain intensity. The selection of the appropriate method can be adjusted according to individual preferences, accessibility, and the severity of the pain experienced.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Musculoskeletal disorders (MSDs) arise from prolonged minor and major repetitive impacts, causing pain in muscles, bones, and joints. Hatha yoga, as a complementary therapy, has the potential to alleviate joint pain. This study aimed to evaluate the effects of hatha yoga on musculoskeletal complaints among housewives in Sindon Village, Ngemplak, Boyolali. Using a pre-experimental design with a one-group pre-test and post-test method, the study involved 30 purposively selected participants. Data were collected using the Nordic Body Map (NBM) questionnaire. Participants underwent 12 hatha yoga sessions over four weeks. The findings indicated a significant reduction in musculoskeletal complaints after the intervention.

Vaginal discharge or flour albus is an excessive discharge from the vagina that is not menstrual blood. Pathological fluoride albus caused by vaginal infections (fungi, bacteria, parasites, viruses). The prevalence of causes is 25%-50 candidiasis, 20%-40% bacterial vaginosis and 5%-15% trichomoniasis. The characteristics of pathological vaginal discharge are smelly, itchy, yellowish or greenish, thick and cloudy and large in quantity. If this condition does not receive immediate treatment, it will have a negative impact on women's health. Infection will develop and affect the function of the reproductive organs. Medical treatment efforts include administering drugs in the form of capsules, tablets and ovules (vaginal tablets). Meanwhile, for non-medical or complementary therapy, betel leaf decoction can be used (Dame, 2023). The aim of this outreach is to provide education about the benefits of boiled betel leaves for vaginal discharge in women of childbearing age. The activity was carried out at the Nyalabu Daya Pamekasan village hall in July 2024, the subject was women of childbearing age in at the Nyalabu Daya Pamekasan village hall. Activity results: Counseling participants learned about the benefits of boiled betel leaf water for vaginal discharge. The results of the questionnaire measuring knowledge before and after counseling showed an increase in knowledge of women of childbearing age by an average of 94%. It is hoped that women of childbearing age can maintain personal hygiene to prevent vaginal discharge and can use boiled water from betel leaves to treat vaginal discharge that occurs.

Dysmenorrhea is a gynecological complaint caused by an imbalance of the hormone progesterone in the blood, resulting in pain during menstruation which often occurs in women. One effort to treat menstrual pain is non-pharmacological therapy with endhorpine massage. The aim of the research was to analyze the effect of endorpine massage on dysmenorrhoea in young women at SMA Takwa Palembang. The research method uses quasi-experimental one group pretest and posttest. The population is all class X female students. The total sample was 28 people taken using purposive sampling technique. The research instrument used the Numeric Rating Scale (NRS) which was measured before after the endorphin massage. Results: The average pain scale before endorpine massage was 4.83 (moderate pain) with a maximum value of 6 and a minimum value of 4. In the second measurement, the average pain scale was 2.61 (mild pain) with a maximum value of 4 and a minimum of 2. Results paired t test obtained α 0.022 < 0.05. Conclusion: There is an effect of endorphin massage on dysmenorrhoea in young women at SMA Takwa Palembang. It is hoped that related parties will develop complementary therapies to treat menstrual pain in adolescents through education.

Postoperative nausea and vomiting is one of the side effects that often occurs in spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room at the Imelda Workers Indonesia General Hospital, Medan. This type of research is quantitative research with quasi-experimental research methods. Data reports in the province of North Sumatra showed that there were 25,602 patients who underwent surgery. Meanwhile, at the Indonesian Umim Workers Hospital in Medan, data on surgical patients for January-March 2024 totaled 666 patients, and 250 patients had spinal anesthesia. This research was carried out in February - June 2024 at the Imelda Indonesian Workers General Hospital, Medan. The research sample was taken as many as 20 respondents. incidence of nausea and vomiting after spinal anesthesia at the Imelda Workers Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, namely 55%, based on gender, the majority of respondents were women, namely 60%, respondents based on smoking history were the majority 65%, the distribution of respondents with a history of nausea and vomiting was the majority 55% and the majority of respondents with nausea and vomiting were 60%. The recommendation for this research is that acupressure therapy can be applied in nursing practice so that patients are able to perform it independently. For the Imelda Workers Indonesia General Hospital, Medan, it is necessary to score the risk of nausea and vomiting in patients before surgery to minimize the incidence of post-operative nausea and vomiting.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Labor Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Labor Indonesia Hospital, Medan, the data on surgical patients as of January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Labor Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Labor Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Labor Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Labor pain occurs due to the contraction of uterine muscles, which can cause discomfort and pain for the mother, potentially affecting the labor process. Acupressure is a complementary therapy that involves applying pressure or massage and stimulation at specific points on the body. The purpose of this study is to determine the effectiveness of acupressure point pressure in reducing labor pain for Mrs. N at PMB Silvi Ayu, S.Keb in Pekanbaru. This research used a descriptive method with a case study design. The results of this study indicate that acupressure point pressure is proven to be effective in reducing pain during labor, especially in the active phase. This method is safe and can be used as an alternative or complementary approach to other pain management methods.

Background: The prevalence in the world according to WHO data (2020) is approximately 972 million people or 26.4% of the population with hypertension. The prevalence rate in Surakarta City, Jebres sub-district is 92,614 people, Mojosongo village is the first with a prevalence of hypertension incidence of 12,447 patients. The development of complementary medicine has a very rapid percentage increase. Globally, complementary therapy to reduce blood pressure has been widely practiced, for example, such as finger clasp therapy and deep breathing. Objective: Knowing the difference in blood pressure before and after the application of finger grip relaxation and deep breathing to lower blood pressure. Methods: Handling hypertension with finger grasping therapy is carried out on hypertensive patients with a research method carried out by means of before being given treatment / treatment, the variables are observed first (pretest) after which measurements are taken again after being given treatment (post test). Results: Handling hypertension with finger clasp therapy and deep breathing which is given once a day. This therapy is given for 1 day, the therapy is carried out for 30 minutes in one meeting. This therapy can reduce the patient's blood pressure. Conclusion: Finger grasping therapy and deep breathing can reduce high blood pressure in patients with hypertension.